QSEN Teamwork EAQ
A client is hospitalized with a brain injury and a skull fracture. The registered nurse is delegating tasks to the healthcare team. Which member of the healthcare team is suitable to provide client care?1. Charge nurse2. Chief nursing officer
3. License
A client is admitted to the emergency department following a motor vehicle accident. The client's wounds are extensive. Which healthcare team member is best suited to care for this client in the emergency ward?1. Charge Nurse2. Registered Nurse3. LPN
4
The registered nurse orders unlicensed nursing personnel (UNP) to check blood oxygen saturation levels every 6 hours and to report the results regularly. Which activity is the registered nurse performing in this situation?1. Active Delegation
2. Passive
A nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. How should the nurse manager address this situation?
1. Assign articles about various cultures so tha
Which statement is true related to the role of the registered nurse in active delegation?1. To provide direct care to a client2. perform the task on behalf of a delegatee3. perform certain functions as the healthcare provider
4. Direct an unlicensed pr
A nurse manager agrees to mentor a newly recruited nurse who wishes to develop leadership qualities. Which statements hold true about this mentor relationship?1. The mentor should serve as a role model.
2. The mentor should not expect anything in return
A nurse providing care in a hospital witnesses a client's spouse shaking the client vigorously because the client has had an episode of incontinence. Because of the suspicion of physical abuse, legally the nurse should discuss the concerns with which part
4. Adult Protective Services
A nurse manager asks for extra help from other nurses in the unit. In exchange, the nurse manager ensures special care for the parent of a staff nurse who is currently a client in the hospital. Which behavior does the nurse manager exhibit?
1. Supportive
How should a student nurse be trained for implementing delegation in practice?1. By reinforcing delegation to the student nurse only during academics2. By interacting with highly qualified, clinically experienced nursing mentors
3. By improving didactic
Which is the essential nursing skill for the triage process in the emergency department?1. Evaluating care2. Setting priorities3. Formulating diagnoses
4. Implementing interventions
What would the nurse describe as the challenges of delegation?1. Limited resources2. More staff availability3. Larger geographic area4. Care for vulnerable populations
5. Deciding if delegating is time-saving
An elderly client with periods of confusion underwent surgery and requires assistance for feeding. To which healthcare professional should the registered nurse delegate the task?1. Charge nurse2. Nurse manager3. Licensed practical nurse
4. Unlicensed a
Which statement is true regarding leadership?1. Having the title of chief executive officer indicates a good leader.2. Leadership is an earned honor and an action-oriented responsibility.
3. Playing an administrative role can automatically place the tit
What are the desired attributes of the nurse as a leader?1. Identifying the needs of followers2. Avoiding the use of personal intuition over facts3. Motivating others assertively towards the objective
4. Focusing on a single option to accomplish the ob
The leader is teaching a nursing student about systems theory. Which statement by the student nurse indicates the need for further teaching? .
Systems theory accounts for unpredictability."
"Systems theory focuses on the effect of random events.
A 36-year-old primigravida is receiving treatment for preeclampsia at 29 weeks' gestation. In light of the latest information on the client's record, which nursing intervention is of the highest importance at this time?
1. Assessing the fetal heart rate f
4. Notifying the primary healthcare provider regarding the epigastric pain, headache, and blurred vision
The nurse is a member of the critical incident stress management unit that looks to meet the psychosocial needs of first responders after a mass casualty incident. Which action by the nurse is appropriate when conducting a session?
Arranging Group Discussions
What is the main motto of the Hersey's 2006 model?Information decayInformation salienceSituational leadership
Individual accountability
Which nursing model includes a registered nurse (RN) paired with technical assistance?
The registered nurse (RN) is caring for a client who is currently hospitalized for a stroke. What is the most effective professional management strategy for the RN to improve the safety and quality of client care?DelegationLeadershipSupervision
Assignm
The registered nurse is evaluating the statements made by a student nurse after teaching ways to make appropriate delegation decisions. Which statement made by the student nurse indicates a need for correction?
The delegator should recheck and redo the work of the delegatee.
Which members of the health care team have dependent status under the registered nurse?Unit secretaryCertified nursing aideLicensed practical nurseLicensed vocational nurse
Unlicensed nursing personnel
Certified nursing aideLicensed practical nurseLicensed vocational nurse
Unlicensed nursing personnel
After a bomb blast in a city, why would the federal government send the Medical Reserve Corps (MRC) to the site?To provide advanced Disaster Life Support trainingTo establish first aid stations or special-needs shelters
To establish fully functional fie
To establish first aid stations or special needs shelters
A client with a history of three spontaneous abortions is now at 16 weeks' gestation and attending the high-risk prenatal clinic. She expresses concerns about remaining at home during this pregnancy. Which questions will elicit responses most helpful to t
The registered nurse (RN) is caring for a client who underwent knee surgery. Which activity delegated to the novice unlicensed assistive personnel (UAP) in the immediate postoperative period would be most appropriate to achieve an effective care outcome?
Feeding the client with fluids
Which aspects of organizations does the nurse consider during the decision-making process?
Laws, Policies, Standards
What aspect of total client care needs to be taken into consideration if used on a 24-bed care area?Cost of NursesTraining NeedsDocumentation
Time Commitment
The nurse is teaching a nursing student how to care for a client who underwent stereotactic radiosurgery for a pituitary adenoma. Which statement made by the student indicates effective learning?
I will monitor serum osmolarity
While assigning a task, the registered nurse finds that one of the delegatees is not competent to hold the current position. Which strategy does the nurse follow for managing this issue during delegation?Attacking the delegate verbally
Doing the task him
Lower Expectations Temporarily
The hospital management is planning a study that compares the benefits and harms of a particular method to the benefits and harms of alternative methods when treating clients with chronic disorders. Which approach does the nurse manager follow to improve
Comparative Effectiveness Research
The nurse leader conducts an education session for the nursing staff regarding case management. Which statement made by the nursing staff indicates they do not understand the role of case management?
1. It increases the hospital profits by providing the o
The nurse leader is representing the nursing unit and the values and beliefs of the organization to staff members. Which leadership task does the nurse's behavior indicate according to Gardner's tasks of leadership?
Serving as a symbol in a management position
Which questions should the delegator assess to determine the right task?1. Is the task legally appropriate to delegate?"2. Is the environment conducive to completing the task safely?"
3. Does the delegator provide clear and concise directions for the ta
Which group discussion technique involves a large number of respondents who may be participating in the discussion remotely?
A client with a history of ulcerative colitis is admitted to the hospital because of severe rectal bleeding. The client engages in angry outbursts and places excessive demands on the staff. One day an unlicensed healthcare worker tells the nurse, "I've ha
A nurse is caring for a client who is being given intravenous magnesium sulfate to treat preeclampsia. Which effect alerts the nurse to notify the primary healthcare provider?
Urine output of less than 100mL in 4 hours
The nurse leader states, "The people in rural America dress and act differently from those in urban centers." What concept describes this statement?
Before assigning a task, the registered nurse makes sure that the prospective delegatee is willing to complete the task. Which delegation right does this situation reference?
Which actions should be completed by the manager of a group of nursing case managers?1. study the current licensed to unlicensed staffing ratio.2. Discuss revision of position descriptions for cross-trained staff.
3. Analyze status of clients' movement
The registered nurse is assigning work to four delegatees. Which delegatee most likely has a limited relationship with the delegator?
Which action makes a nurse manager also a nurse leader?
Helping employees reach the highest level of their potential excellence
What does Hersey's situational leadership model describe about ability and willingness?1. Willingness relates to knowledge and skills in a specific situation.2. An individual's ability does not change from one moment to the next.
3. An individual's will
What are the roles and responsibilities of a senior nurse leader while implementing strategies for improving the quality of the organization?1. Participating actively in the quality improvement activities
2. Setting priorities for staff effectiveness and
The nurse is seeking a position as a clinical nurse leader in a major city hospital. What should the nurse prepare to do in order to secure this type of nursing role?
Pass the certification exam
Complete a master's degree in nursing
The nurse is relating to and inspiring the client who has a psychiatric disorder to achieve the client outcomes. Which of Gardner's leadership tasks is reflected in the nurse's actions?
A delegator, working in collaboration with a delegatee, allots responsibilities and explains the various procedures and techniques needed to accomplish the task. Which action is the delegator performing, according to the Hersey model?
Explaining and Persuading
The registered nurse (RN) is teaching a newly hired nurse about delegating tasks to the healthcare team. When asked what the rights of delegation are, which right listed by the hired nurse indicates the need for further teaching?
The care delivery committee is considering client-focused care units for a 300-bed community hospital. What cost information should the committee prepare to help the hospital's board of directors make this decision?1. Training charge nurses
2. Redesignin
What should the manager take into consideration when identifying a delivery model for client care?1. Budget2. Unit objectives3. Staff preference4. Client population
5. Organizational goals
Which roles require the nurse to prioritize when implementing a primary nursing model of client care?MangerAdvocateDecision MakerTeam Leader
Care Coordinator
MangerAdvocateDecision Maker
Care Coordinator
According to style theory of leadership, which is an action of a nurse leader?
Using feedback from superiors to measure own performance
A registered nurse (RN) in charge of a mental health unit has two additional staff members: a licensed practical nurse (LPN) and a nursing assistant (NA). The unit has 20 clients, with one client on constant observation for acute suicidality. What should
Provide client care and administrative duties and assign the LPN to administer medications and the NA to maintain constant observation of the suicidal client.
Which statements by a nurse indicate that the organization has no formalized mechanism for nurse input into organizational decision making?
I think my supervisor is not fit for that role.""What would they do if I quit my job right now?"
"I can fill out an official complaint about my head nurse.
It is determined that a staff nurse has a drug abuse problem. What approach to the staff nurse's addiction should be taken as an initial intervention?
Referred to the employee assistance program
Which actions in the delegation process represent accountability?
Monitor Client Care
Seeing the outcome report
How can the lines of communication be improved in a healthcare organization during the process of delegation?
By appreciating and valuing each other's cultural perspectives
A client with mild preeclampsia is admitted to the high-risk prenatal unit because of a progressive increase in her blood pressure. The nurse reviews the primary healthcare provider's prescriptions. Which prescriptions does the nurse expect to receive for
Daily weightSide lying bed rest
Deep tendon Reflexes
The registered nurse delegates the care of a client in the immediate postoperative period to the patient care associate (PCA). Which tasks performed are in the scope of practice of the PCA?
Feeding the client
Assisting the client with bathing
Which emergency response team is involved in emotional recovery of victims after a disaster?
The nurse leader, while teaching a group of nurse leaders, references an approach of evidence-driven consciousness to be applied in the nursing practice. What is the main concern of the nurse leader?
About the safety of the clients
A healthcare team is delegated the task of assisting a client with bathing. Which member of the healthcare team is responsible and accountable for this aspect of client care?
Who is accountable for the ongoing evaluation of a client's care?
What characteristics should be included when devising care plans for use with the total client care delivery system?
HolisticContinuousClient-centered
Comprehensive
Which personnel should the nurse state are responsible for deciding the number, acuity, and resources needed for clients during a disaster?
Medical command physician
The nurse leader performs his or her own honest appraisals on a regular basis and feels good about the job. Which rule is the nurse leader implementing by this action?
After resolution of a conflict, the nurse leader encourages a team member who was involved in the conflict. To be an effective leader, which action should the nurse leader avoid
Telling the team member that he or she will get legal punishment for conflicts in the future
Which description by the nurse is a correct explanation of delegation?
The transfer of responsibility for the performance of an activity
How does a nurse leader effectively implement change in an organization?
By using personal and professional skills
Which question does the registered nurse recognize as related to the right of circumstance when delegating?
Is the delegation appropriate to the situation?
Which hospital care setting is most appropriate for a case manager to perform tasks as a delegatee?
A nurse discusses the type of anesthesia that will be used for a vaginal birth with a client who has class I cardiac disease. Which type of block is most appropriate for this client?
Which model of ethics considers broad social issues and involves accountability to the overall institution?
A client with burns tells the nurse that the primary healthcare provider stated that skin grafts would be required. The client asks when the procedure will be performed. Which response by the nurse is most appropriate initially?
Tell me what your primary healthcare provider said about the graft procedure.
A health care organization is planning to implement differentiated nursing practice. What should be prepared prior to implementing this care delivery system?
Salary rangesPosition descriptionsExpected competencies
Degree of participation in decision-making
A nurse is determining which tasks to delegate. Which actions should a registered nurse perform while caring for a client in traction?
Determining correct body alignmentAssessing complications associated with immobility
Teaching the client about range-of-motion (ROM) exercises
What is the most important information the nurse and the rapid response team must keep in mind when caring for a client who had a cardiac arrest?
How long the client was anoxic
The nurse is giving unlicensed assistive personnel (UAP) strategies to care for a 2-year-old child admitted to the hospital with severe diarrhea. Which strategies should the nurse provide?
Weighing the child at the same time every day
A nurse leader has resolved a conflict within the team. Which further action of the nurse leader prevents the same conflict in the future?
Working with the team members after the conflict
A nurse manager wants to change the protocol of preoperative teaching to include aspects of deep breathing and infection control measures. Which strategies should the nurse implement to support this change?
Developing new skills and competency required for implementing the changeMaking modifications in preoperative teachings to support the change initiative
Reducing the negative influences of late adopters from the group implementing the change
The nurse is managing a client who underwent cardiac bypass surgery. Which healthcare member can be safely delegated the task of monitoring electrocardiography?
A nurse manager receives a complaint from a client that a particular staff member had been rude when providing care. The nurse, rather than punishing the staff member, listens to his or her side of the story and then talks to the client to clarify the mis
Situational-contingency theory
Which activity performed by the registered nurse (RN) indicates effective supervision of the delegatee?
Guiding the delegatee while he or she is performing the task
When assigning a task, the delegator should understand the delegatee's personal values and align them with the organizational values. Which task can be achieved from this delegation?
The nurse leader sent a team of followers to conduct a community health session. The session was completed successfully. Which action of the nurse indicates leadership quality?
Giving rewards to the followers responsible for the success
Which healthcare professionals would the nurse say work under active delegation?
Licensed practical nurse (LPN) administering oral medications as delegated by the registered nurse (RN)
Unlicensed nursing practitioner (UNP) maintaining oral hygiene of the clients as delegated by the registered nurse
The nurse manager shares experiences faced during the journey to leadership with other staff members. Which statement made by the nurse appropriately describes the barriers faced during the leadership journey?
It requires time commitment."
"The title doesn't guarantee good leadership.
The nurse leader is teaching a student nurse about the modifications in the patient-focused care model. Which statement made by student nurse indicates ineffective learning?
It requires a technician to provide client care.
Which behaviors indicate that a care provider is functioning as a primary nurse?
Completes the client's plan of careCoordinates care needs with ancillary staff
Discusses approaches to improve care responses
During change of shift report the night nurse indicates that a client cannot tolerate the prescribed intermittent tube feedings. Which action should the receiving nurse take first?
Gather more data from the night nurse about the technique used
The senior nurse finds that a novice nurse is mainly emphasizing leadership activities in a healthcare facility. Which action of the senior nurse indicates effective leading ability?
Encouraging and developing the leadership of the new nurse
A nurse delegator assigns work to a delegatee who has the ability and willingness to do the work but the relationship between the delegator and delegatee is relatively new. How is the delegator's behavior described according to Hersey's Model?
A nurse in the postpartum unit must complete several interventions before a client's discharge from the hospital. The nurse plans to delegate some of the tasks to an unlicensed health care worker. Which activity must be performed by the nurse?
Comparing the identification bands of mother and infant
A nurse is planning to negotiate with the supervisor in order to achieve a better work environment. Which actions are appropriate in this context?
Making tradeoffs
Asking for a more desirable schedule
A registered nurse delegates the task of administering oral antibiotics for a client with diabetes. Which statements are true in this scenario?
The registered nurse (RN) is accountable for the delegatee's work.The licensed practical nurse (LPN) should report to the RN once the task is completed.
The licensed practical nurse (LPN) can be held responsible for any failure in administration of oral
In a long-term care facility, the care tasks for a client who is suffering with liver disease are being delegated. Which statement made by the delegator indicates the responsibility for the tasks is with the registered nurse?
You will assess alleviation of the client's symptoms.""You will be monitoring the client care on an hourly basis."
"You will admit the client to the intensive care unit (ICU) if her condition deteriorates.
A medical-surgical unit is expecting a large volume of client admissions after a train derailment. Which member of the nursing care team will prioritize care for the unit?
Which internal factors should be considered while implementing any change in an organization?
Number of staffLeader competency
Nurse education level
The client with methicillin-resistant staphylococcus aureus (MRSA) is admitted to the medical unit. Which of the following tasks should be performed by the registered nurse?
Initiating intravenous (IV) antibiotic therapy
Which statement is true regarding leadership theories?
Expectancy theory states that leaders should provide specific feedback about positive performance.
A nursing assistant is working with a delegator. Which action of the nursing assistant may negatively affect client care management?
Performing the same tasks as the delegator
The unlicensed healthcare worker assigned to the 7:00 am shift has not been coming to work until 8:00 am. Nursing care is delayed, and assignments are started late. What is the most appropriate action by the charge nurse/team leader?
Document the information before discussing it with the unlicensed healthcare worker.
A nurse manager determines that one of the nurses in the intensive care unit may be experiencing burnout. What can the nurse manager do to help this nurse begin to confront the problem?
Help the nurse identify personal responses to daily stresses on the job.
Which action is specific to the role of a nurse leader or manager in the area of clinical research?
Facilitating the application of research findings in practice
Before assigning a task, the registered nurse makes sure that the delegation process is appropriate to the situation. To which delegation right does this situation refer?
The registered nurse assesses if an unlicensed assistive personnel (UAP) new to the unit is capable of carrying out a task. Which principle of delegation does this illustrate?
Which statement made by a nurse indicates being an effective community opinion leader?
I will try to build a society that treats males and females equally
A nurse leader is promoting dialogue within the team successfully. Which actions of the nurse leader are responsible for this success?
Serving as a facilitatorEncouraging the sharing of ideas
Reacting to changed proposals honestly
A nurse leader is caring for a client during their entire stay in the hospital. Which nursing model is this nurse following?
Which healthcare professional would the nurse know is held accountable for the tasks performed by the patient care associate (PCA)?
Which example would the nurse consider to be a part of systems thinking theory?
To focus on the needs of all residents in a long-term care facility
The registered nurse (RN) who delegates work to a newly hired licensed practical nurse (LPN) says, "Please tell me how you will go about performing this procedure, and I will share my expectations with you." Which behavior strategy of Hersey's model is be
What entity outlined the principles of delegation for registered nurses?
The nurse is attending a city commission meeting being held to discuss using a community park to build a museum. How should the nurse advocate as a community opinion leader to help maintain a health conscious society?
Oppose building the museum
A nurse leader is setting priorities for achieving success by using the simplest and fastest method of communication. Which rules and responsibilities does the nurse fulfill by this action?
A nurse reviews the medication charts of four clients. Which medication prescription will cause the nurse to notify the primary healthcare provider?
Client A has acromegaly, which is a result of increased growth hormone production. This condition should be treated with octreotide and lanreotide instead of conivaptan; conivaptan is used to treat SIADH. The treatment of Cushing's syndrome involves the a
Which are considered as nurse competencies within the synergy model of care delivery?
CollaborationClinical Judgement
Cultural Competency
The nurse manager asks the staff nurse to participate in creating new guidelines for providing services to the client. Which management strategy is utilized by the nurse manager?
The nursing manger previously assured the staff nurse that she would have flexibility regarding work shifts and agrees when the staff nurse requested different shift work than usual. Which principle does the nursing leader follow in this situation?
A nurse is caring for a group of clients who are being considered for treatment with a negative pressure wound treatment device. Which condition will cause the nurse to discuss this prescription with the primary healthcare provider?
Hip wound with slight bleeding
The nurse as a leader assists multidisciplinary leaders to achieve optimal functioning to benefit client care delivery. Which Gardner's task is the nurse applying?
The nurse as a leader explains ethical principles to the student nurse. Which example does the leader give for autonomy?
Accepting the client's wish to donate his/her organs after death
The nurse is teaching a group of nursing students about case management. What should the nurse explain as being the goal of case management?
Integrate care with cost-effective approaches.
While having a group discussion in an organization, one of the team members criticizes an idea of another team member. Which strategy should the leader apply to resolve the issue?
The charge nurse is assigning client care to oncoming staff. The new nurse on the unit expresses an inability to care for the assigned client and is requesting to be reassigned. What should the delegator do in this situation?
Understand the delegatee's motivation in the situation.
A group of clients is admitted with mass fatalities in the emergency unit. Which emergency medical service agency offers service for this condition?
Disaster Mortuary Operational Response Teams (DMORT)
The registered nurse is evaluating a group of student nurses after teaching how leaders should maintain balance. Which statement by a student nurse indicates effective learning?
A good strategy for retaining control is to get control over communication.
Which behavior of the delegator with respect to the work delegated to a delegatee is characterized as "selling" according to the Hershey's Model?
What are the three strategies that the nurse can perform while assisting other nurses in making delegation decisions?
While serving as a leader, the nurse assists the client with planning, priority setting, and decision making. Which of Gardner's leadership tasks is the nurse putting into practice?
Which action should the nurse take when caring for clients through a Community-Based Care Transition Program (CCTP)?
Contacting the client and physician through a conference call line to discuss medication issues
Which are the core roles for an advanced practice registered nurse (APRN)?
The nurse has accepted a position as a navigator. What should the nurse expect to learn during training for this role?
Learning ways to work through the health systemsStrategies to teach clients about disease, including prevention and treatmentAssessing barriers that clients have encountered while attempting to receive care
Helping clients cope with delays in receiving
The nurse leader arranges a meeting with the staff members to learn how satisfied they are with their jobs. Which approach by the nurse leader would outline effective leadership?
Seeking feedback from the teamMotivating the team to reach the desired goals
Asking the team to participate in decision making
The chief operating officer conducts an interview for the position of nurse leader and asks about Kotter's eight-step model. Which attribute cited by the nurse relating to helping build the momentum is correct?
Forming a powerful coalition
Which health care provider would best help a homeless client receive needed medication for a communicable disease?
A staff nurse is requesting that the nurse leader be her preceptor in the emergency department. Which source of power is effective in this situation?
The nurse leader finds that a client with a severe vitamin B12 deficiency is extremely fatigued and tends to fall. Which theory does the student nurse think that the nurse leader would find appropriate for prioritizing the need of the client?
Who functions as a liaison between team leaders and other healthcare providers?
The registered nurse assigns a task to a newly hired licensed practical nurse (LPN) to monitor a client's blood pressure. Which is relevant to the delegator in this situation?
A client with hypoglycemia is admitted to the hospital. Which duties can the registered nurse (RN) safely delegate to the licensed practical nurse (LPN)?
Administering oral medications
Administering intramuscular medications
The registered nurse delegates the tasks related to caring for a client who has undergone surgery. What are the benefits of delegation in this situation?
Increased efficiencyImproved quality of client care
Increased professional skills of the unlicensed assistive personnel
Which task is achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the healthcare team?
The client reports a "fluttering in my chest." The nurse analyzes the client's heart rhythm and notices that there are three P waves for each QRS complex. The waves have a sawtooth appearance. The atrial rate is 240 beats per minute, but the ventricular r
Which actions of the nurse exhibit transactional leadership?
Meeting the targets within the deadlineWorking according to organizational rules
Correcting the errors in a reactive manner
The nurse as a leader in the healthcare setting is studying how the communities and cultures that make up society relate to healthcare delivery. Which aspect of systems thinking theory of leadership is the nurse applying in this situation?
Recognizing the dynamic, complex, and interdependent nature of systems
The hospital administration promotes a nurse leader to the role of nurse manager and provides the opportunity to participate in a quality improvement plan. Which statements made by the new nurse manager indicate there is a need for revising the responsibi
I will build infrastructure and remove the barriers for improvement.""I will implement the systems for internal and external reporting of information."
"I will define the procedures for immediate responses to errors that involve care.
The nurse leader asks the team members not to talk to each other while writing their ideas for solving a predefined problem. Which type of group decision-making style does the nurse leader follow?
The nurse, as a leader, is planning to provide information about personal hygiene to a group of clients. Which communication methods should the nurse use to talk to the clients?
Being sensitive to nonverbal communicationProviding the opportunity for dialogue and feedback
Presenting information that addresses the listener's self-interest
The charge nurse is teaching the newly-hired registered nurse (RN) about delegating tasks to unlicensed nursing personnel (UNPs). Which statement made by the newly hired RN indicates the need for further teaching?
I should assist the staff in sorting out and articulating values.
A staff member is planning to start a new job but is worried about the impact it might have on future growth opportunities. The nurse leader is helping the staff member understand all the implications. Which ethical principle is the nurse manager as a lea
Which statement is true regarding delegation?
Open lines of communication must occur between delegator and delegatee.Delegation occurs only when at least two people are involved in a mutual work situation.
Delegation involves sharing activities with other appropriate authority to accomplish the work
Which generation of nursing professionals, being exposed to both terrorism and natural disasters, should be key members for disaster planning initiatives?
A nurse manager is selecting direct care nurses for a client-care project. The manager asks a direct care nurse about treatment priorities. Which answer provided by the direct care nurse would be appropriate?
I will give preference to the problems that have the greatest urgency.
What type of delivery method is used when the nurse provides care to the same client for the entire work period?
The nurse leader teaches the student nurse about the quality assurance (QA) process. Which statement made by the student nurse indicates ineffective learning?
The major task is staff development.
The nurse manager appointed a registered nurse (RN) to provide hospice care for a client and explained the tasks to be performed. Which tasks has the nurse manager delegated to the RN?
Providing total client careTeaching the client and family members
Teaching the client about personal hygiene
The nurse observes bleeding into the subgaleal compartment upon reviewing a child's magnetic resonance imaging (MRI) results. What other conditions should the nurse evaluate for in the child?
Decreased platelet levels
Decreased hematocrit levels
What advice is appropriate for a growing child to prevent obesity?
You should eat small meals throughout the day.""You should drink fewer sweetened beverages every day."
"You should watch television for less than 2 hours every day.
What developmental skills does a preschooler exhibit?
Specific reasoningIncreased curiosity
Magical thinking
What birth weight in a neonate indicates that the infant is a very low birth weight (VLBW) infant?
Which conservation exercises should the nurse include in the assessment process of a child who is 6 years of age?
Asking the child to compare the mass of two ballsAsking the child to compare the length of pencils
Asking the child to compare the number of marbles
Which auditory test is appropriate for infants?
Which topic should the nurse include in the anticipatory guidance provided to the parents of a 7-year-old client during a scheduled health maintenance visit?
Which activities should the nurse suggest to the parents of a latchkey school-age client to decrease loneliness?
Suggesting that the parents get the child a petCalling the child if the parent will be late coming home
Helping the child talk about his or her feelings about being alone after school
A worried parent informs the nurse, "My 6-year-old is otherwise healthy but still wets the bed at night." The nurse is teaching the parent necessary steps to manage the child's nocturnal enuresis. Which statement made by the parent indicates effective lea
I should avoid giving my child fruit juice after 4:00 pm.""I should encourage my child to drink lots of water during the day."
"I should wake my child at the same time every night to use the bathroom.
The registered nurse (RN) is evaluating the student nurse in the aspect of leadership qualities. Which behaviors of the student nurse express emotional intelligence in leadership?
Supporting the teamMotivating the other nurses
Using skills to expand social networks
A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team decides to promote the nurse to a managerial position. Which actions by the nurse would justify the decision of the panel? .
Inspiring new ideasEstablishing short-term goalsDemonstrating positive feelings
Maximizing results from existing resources
What is the role of unlicensed assistive personnel in intravenous (IV) therapy for a client?
Monitor clinical manifestations
When does delegation become more challenging?
When the client is pregnant
When school children are receiving care
The registered nurse, as a leader, is teaching about leadership roles to a group of nurse practitioners. Which statement made by a nurse practitioner indicates effective learning?
I should use experience and knowledge to judge reasonable risks.
Which system thinking theory principle is involved when the nurse considers the decision of a client to terminate clinical treatment?
Balancing short-term and long-term objectives
The registered nurse is delegating tasks for nursing assistants caring for a client who requires more attention. Which element should be considered when selecting the suitable nursing assistant for delegation of a task?
The nurse as a leader teaches staff about organizational disciplines to support change and evolution. Which statement of the nurse is relevant in the context of maintaining self-awareness and using reflection?
Personal mastery fosters openness in the face of change
The registered nurse, while teaching a group of nursing students about the characteristics of a good team player, states, "A good team player should work with determination and refuse to stop until the goal has been accomplished." Which characteristic is
When a client with cancer reaches an incurable last stage, the nurse explains the situation to the client and calls the client's family members to provide support. Which need of the client does the nurse prioritize here?
Which beliefs may be associated with a registered nurse's failure to delegate tasks?
Delegation is too time consuming.More energy is required to delegate others.
The registered nurse will not receive credit for total client care.
A registered nurse (RN) delegates the task of foot care for a client to an unlicensed nursing personnel (UNP). The UNP is skillful and willing to perform the given task, but was recently hired and is unfamiliar with the client's condition. What should the
Establish mutual expectations and conditions.
A nurse in the prenatal clinic is assessing a woman at 34 weeks' gestation. The client's blood pressure is 166/100 mm Hg and her urine is +3 for protein. She states that she has a severe headache and occasional blurred vision. Her baseline blood pressure
Arranging transportation to the hospital
A newly promoted nurse manager is studying the critical factors that are needed to be an effective leader according to situational-contingency theory. Which statement by the nurse manager indicates the need for further study?
The leader should provide specific feedback for positive performance."
"The leader should elicit feedback from peers, followers, and higher authority.
What tasks should the nurse perform as a leader to increase productivity?
Provide information and direction related to meeting unit productivity goals.Prepare a staffing plan that balances the organizational directives with unit needs.
Provide coaching and mentoring to the staff.
What are the overall purposes of delegation?
To achieve nursing goals
To improve client outcomes
Which characteristics of a licensed practical nurse should be considered before delegation of tasks?
Critical thinkingDiagnostic reasoning
Synthesizing information
What is the key idea of role theory in nurse leadership?
To understand behavior in certain circumstances
To collect concepts that predict the actors' performance in a given role
The direct care nurse wishes to improve her understanding of the steady-state career style in order to get promoted as the nurse leader. On which quality attributes would the nurse want to focus?
Rewarding competence and tenure
A pharmacy technician arrives on the nursing unit to deliver opioids and, following hospital protocol, asks the nurse to receive the medications. The nurse is assisting a confused and unsteady client back to the client's room. How should the nurse respond
I can't receive them right now. Please wait a few minutes or come back.
The hospital management wants to prevent post-traumatic stress in the nursing staff. Which implemented strategies will be ineffective in pursuing this goal?
Encouraging the staff to work for more than 12 hours per day
During a status meeting for a research project, the project leader asks the team members for feedback. What leadership theory is represented by the action of the leader?
The nurse delegates the tasks of caring for a postpartum client. During assessment, the nurse observes an infection in the client caused by lack of hygiene. Which member of the health care team is most likely responsible for the client's condition?
The registered nurse (RN) and unlicensed assistive personnel (UAP) have been working together for two years. Which statement made by the RN would be appropriate after delegating a task to the UAP?
You know what to do and when to report.
The nursing manager is preparing a schedule for delegating appropriate tasks to different health care team members. Which health care team member can be delegated the task of administering oral medications?
Licensed practical nurse
Licensed vocational nurse
Hospital management has replaced some equipment to provide more effective treatment. The nurse, as a leader, wants the team to support and implement this change successfully. Which actions of the nurse leader are effective in this situation?
Conducting a dialogue with the team membersEncouraging the team members to develop new skills
Encouraging the team members to increase competency in different areas
The nurse leader monitors the direct care nurse administering pain medication to the client. The leader tells the client "I will come back in 30 minutes to check your pain level." Which right of the client does the leader fulfill if the leader returns wit
Which individual is categorized as one who would be considered as "dependent status"?
Which of these clients can be provided care safely by unlicensed nursing personnel?
A client who is stable
A client who is recovering
The nursing leader is giving a demo on using computerized provider order entry (CPOE) to a newly hired nurse for automatic dose calculation. The nurse leader observed that the staff nurse was not concentrating on the instructions and seemed distressed. Af
The registered nurse is delegating a task to a newly hired unlicensed nursing personnel (UNP) and feels that the UNP requires explanation. Why does the RN feel the need to provide explanation?
The UNP is familiar with the ongoing process but the task is new.
The postpartum nurse is providing care to four maternal/infant couplets who have all delivered within the past 24 hours. After receiving the handoff report from the off-going nurse, which client is a priority for the nurse to see first?
The term infant with a transcutaneous bilirubin reading of 8.6 mg/dL (90 mcmol/L)
The registered nurse is interviewing for a management position and wants to present a powerful image. What can the nurse focus on when preparing for the interview?
Conveying positive body languageAppearing well groomed and well dressed
Showing confidence in work and abilities
A group of bomb blast victims needs to be transported to the hospital immediately. Which staff members of an emergency unit are most appropriate to handle this situation?
Prehospital care providers
Which members of the healthcare team are under dependent status when a task is delegated by the registered nurse (RN)?
Client attendant
Licensed vocational nurse (LVN)
A healthcare team is caring for a client who underwent kidney transplantation. Which task is most suitable to be delegated to a licensed practical nurse (LPN) to provide effective client care?
Recording vital signs
Placing the urinary catheter
While a client is being given intravenous magnesium sulfate therapy for preeclampsia, it is essential for the nurse to monitor the client's deep tendon reflexes. What reason does the nurse give to the client to explain why this is done?
Identifies the potential for respiratory depression
Which question asked by a nurse leader establishes and maintains a human rapport with staff?
Which charge-nurse remark would be expected in a care area that is using team nursing as a care delivery method?
Have you discussed this client care issue with your team leader?
After the completion of training under the newly appointed transactional leader, the nurse manager intends to judge the performance of the new leader through interaction with the staff. What type of statements would the manager expect to receive when aski
We fulfill the task to avoid punishment.""We are paid only after our work is satisfactorily completed."
"We tend to minimize errors; otherwise, it gets corrected in a reactive manner.
Which nurse would be the best to create clinical pathways for joint replacement surgeries in an environment that supports differentiated nursing practice?
Nurse with a master's degree who case managed clients in an orthopedic care center
A 20-year-old developmentally challenged woman is a resident in a group home. She has had four abortions in the past 2 years, and the agency supervisor recommends that she be sterilized. It is obvious that the client is unable to exercise informed consent
Court-appointed individual or group
What type of relationship between the nurse delegator and delegatee causes the nurse delegator to use the leadership behavior of telling?
A client has been prescribed chlorpromazine for the management of positive symptoms of schizophrenia. What is the nurse's response when the client reports difficulty sustaining an erection?
Consulting with the primary healthcare provider regarding alternative medication therapies
Which right of delegation would the nurse describe as most instrumental in shaping quality and safety outcomes according to Anthony and Vidal?
Right communication and direction
The nurse leader has implemented a change in documentation of nursing care. The nurse leader finds that the licensed practitioner nurse (LPN) is resistant to change and is not participating in the change process. Which approach made by the nurse leader wo
To confront the LPN and encourage verbalization of feelings regarding the change
The nurse with limited clinical experience is preparing a delegation communication template. Which action by the nurse indicates the need for correction?
Specifying that no extra time is allotted to report data
A registered nurse distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional?
When the task is given to another registered nurse (RN)
What is the key element of success for a nurse manager as a leader?
Including the direct care nurses in decision making
The nurse leader teaches student nurses about ways of making care visible. During a follow up visit, the leader observes the nurse holding the client's hand after finding him or her anxious before radiation therapy. Which communication skill applied by th
Two hours after a 1-year-old child with acute laryngitis is admitted to the hospital, the nurse observes increases in the child's respiratory and cardiac rates, increased restlessness, and substernal and intercostal retractions. What action should the nur
Calling the healthcare provider to report the child's respiratory status
The registered nurse is teaching the student nurse about the concepts of delegation. Which response given by the student nurse indicates the need for further teaching?
Delegation is the transfer of accountability while retaining responsibility.
Which healthcare team member is responsible for the coordination and assignments of client care?
A registered nurse is teaching a student nurse about the functions and utilization of trauma centers. Which statement of the student nurse indicates effective learning?
Clients requiring stabilization with major injuries should be sent to a level III trauma center.
Which activity performed by the registered nurse (RN) indicates effective delegation?
Supervising and monitoring the licensed practical nurse (LPN) about the different activities
Which assets of the nurse as a licensed health care professional help in planning effective nursing care?
Critical thinkingDiagnostic reasoning
Ability to synthesize information
While caring for a client, the registered nurse (RN) needs the assistance of a licensed practical nurse (LPN). The RN feels that the LPN requires supervision as the LPN has previously only worked in a physician's office. Which action by the RN would help
Initiating a conversation about the new role and functions of the LPN
While delegating a specific task, the registered nurse says to the delegatee, "It is important that you measure the client's blood pressure every 15 minutes." What does this situation indicate?
The delegator is providing more guidance.
The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching?
A leader has a formal position.
A client says, "None of the medications will work on me because I am away from my holy land." What course of action should the nurse take to comply with teamwork and collaboration competency according to the Quality and Safety Education for Nurses (QSEN)?
Approach the agency chaplain to discuss the spiritual needs of the client
The nurse is assessing a 12-hour-old newborn. Which clinical finding should be reported to the health care provider in a timely manner?
A healthcare team is caring for clients after a fire. The charge nurse delegates different tasks to the healthcare team according to the functional model of nursing. Which team member is eligible and accessible to provide oral medications to any clients?
The transformational leader demonstrates charismatic behavior and the careful consideration of the value of every individual in the organization. What might be the expected organizational outcomes with this type of leadership?
Increased loyalty
Increased performance
A client who sustained serious burns now has a stress ulcer. Which clinical indicators of shock should the nurse immediately report to the primary healthcare provider?
WeaknessDiaphoresisTachycardia
Cold extremities
During an interview for the position of manager in the healthcare industry, the candidate is asked about the important qualities of a successful manager. Which responses would be appropriate?
A successful manager should take risks.""A successful manager should tolerate uncertainty."
"A successful manager should experiment with ideas for a unique situation.
Which task can the registered nurse safely delegate to the unlicensed assistive personnel (UAP) while caring for a client with gastroesophageal reflex disease?
A primary nurse managing client case records finds that the discharge teaching plan for a client is inadequate. The nurse consults other team nurses and formulates a better teaching plan. Which element of the decision making process is the nurse exercisin
The registered nurse is caring for an elderly client who is admitted with severe asthma. Which task delegated by the nurse is most suitable to be performed by the client attendant?
Assisting the client during nebulization
The nurse manager is planning to assign an unlicensed healthcare worker to care for clients. What care can be delegated on a medical-surgical unit to an unlicensed healthcare worker?
Performing a bed bath for a client on bed rest
Assisting a client who has patient-controlled analgesia (PCA) to the bathroom
The nurse manager orders the direct care nurse to assist in providing tertiary care to a client. Which type of treatment would the direct care nurse be involved in?
While caring for a client with diabetes, the registered nurse delegates the task of administering oral medications to the licensed practitioner nurse (LPN), but the LPN is reluctant to take the assignment. What should be the most appropriate response of t
Evaluate the reason for the behavior.
Which among the Five Rights of Delegation is the cornerstone of delegation?
Right communication and direction
The nurse leader is working on resolving conflicts between team members. Which action indicates that the nurse is involved in constructive conflict?
Making use of authentic communication
Which delivery system was developed to provide care through others as an adaptation to functional nursing?
While delegating a task, the registered nurse says to the delegatee, "Please tell me how you go about performing this procedure, and I will share with you my perspective about how frequently and under what conditions we need to communicate with and report
The delegatee and delegator are creating mutual expectations.
Which behavior of the nurse as a leader indicates Gardner's task of renewing at an executive level?
Providing self-care to enhance the ability to care for clients, families, staff, and the organization
The registered nurse (RN) delegates obtaining and recording a client's pulse every 30 minutes. During the last hour, the licensed practical nurse (LPN) fails to report the client's elevated heart rate to the RN. Which factor best explains the situation?
After caring for a client who underwent a cesarean section, the delegatee failed to report results and findings of vital signs to the delegator due to improper understanding. Which action of the delegator is the reason for the delegatee's failure?
Unclear directions to the delegatee
A client is admitted to the medical unit with pulmonary edema. The registered nurse admits the client, writes a plan, and assigns the work to another registered nurse (RN). Which factors are transferable in this case?
Responsibility
Accountability
A 15-year-old client tells a school nurse, "I have this awful pain during my periods�it never stops." What should the nurse encourage her to do?
Have a gynecologic examination.
After a hysterosalpingo-oophorectomy, a client wants to know whether it would be wise for her to take hormones right away to prevent symptoms of menopause. What is the nurse's most appropriate response?
Discuss this with your primary healthcare provider because it is important to verbalize your concerns.
Which element creates an integrative process that fosters effective delegation decisions by the registered nurse?
In a healthcare unit, there are 30 clients and the charge nurse delegates the healthcare team for providing client care. Which statements made by the delegator would indicate care responsibilities are assigned to unlicensed assistive personnel (UAP)?
Note the oxygen saturation reading.""Check whether the client is taking fluids."
"Ensure that the client has time for uninterrupted sleep.
A direct care nurse has great skill in teaching clients different self-care activities and is sought out by colleagues to teach their clients. Which power does the nurse possess?
A resident primary healthcare provider in the birthing unit asks the nurse to prepare for a vaginal examination on a client with a low-lying placenta who is in early labor. What is the priority nursing action at this time?
Explaining why a vaginal examination should not be performed
A client has a femoropopliteal bypass graft. The nurse assesses vital signs, and the client's blood pressure is 200/110 mm Hg. The nurse notifies the surgeon. What is the rationale for the nurse's action?
The nurse is assisting the registered nurse with delegation decisions regarding management of a client with shortness of breath. Which action by the nurse indicates a need for correction?
Providing constructive feedback about client care management
Which comment by a team leader exemplifies team nursing the way it was intended?
(Registered Nurse 1), check all of the intravenous (IV) sites and give the IV medications.
Which action of the clinical nurse is consistent with Gardner's task of "achieving work unity"?
Helping clients accomplish optimal functioning
Which action of the leader signifies the implementation phase of the nursing process to teaching?
Sequencing different tasks
A client who was in an accident is admitted to the hospital. Which decision making approach by the nurse leader indicates the 'satisficing' approach?
Providing preliminary care to the client
Which delegatee requires little guidance from the delegator?
Delegatee who is familiar with the task but not the client
In which environments is the functional model of care most likely to be utilized?
Ambulatory clinics
Extended care facilities
A hospital is planning to implement the functional model of nursing. Which action performed by a nurse leader would be effective under this model?
Assigning individual duties to different nurses and nursing students for different tasks
The leader teaches the student nurse about STAMP (staring, tone and volume of voice, anxiety, mumbling, pacing) assessment. During the session, the leader mentions rapid speech and dilated pupils. What component is responsible for these two conditions?
Which actions would the nurse describe as defining the role of a senior leader? .
Providing resources
Defining procedures for immediate response to errors
Which health care professional is accountable for establishing systems to assess and communicate competency requirements related to delegation?
Which action on the part of the nurse constitutes transactional leadership?
Rewarding the licensed practitioner nurse for high performance
The care delivery committee is determining whether primary nursing would be appropriate to implement in a 500-bed acute care hospital. Which information would support the selection of another care delivery approach?
Average length of stay per client is 42 hours.Average experience of registered nurses is 16 months.
Budget for salaries 120% over estimates for the last fiscal quarter.
A nurse is conducting a health campaign in a school. During the health campaign, the nurse finds that the school management has replaced the registered nurse (RN) with a trained clerk. What should the nurse, as a community opinion leader, do?
Write a letter to a local newspaper editor opposing the decision of the school board
A delegator working in a rural setting has to handle a task of managing care for clients in that area. Which crucial step should the delegator take to develop a productive strategy in delegating tasks to a delegatee?
Understanding the capabilities of the delegatee
According to chaos theory, which statement from the nurse executive indicates having the qualities of a manager?
I will take risks willingly.""I will use creativity and flexibility."
"I will experiment with new ideas in a situation.
What are the desirable actions of the nurse as a transformational leader?
Fostering a shared vision
Providing coaching and mentoring
After surgery to repair a retinal detachment, an older adult client is transferred to the postanesthesia care unit with the affected eye patched. During the first four hours after surgery, the nurse should plan to notify the primary healthcare provider if
Sharp pain in the affected eye
While supervising a smallpox vaccination program, a nurse manager observes a nurse cleansing the arm of a client with an alcohol swab before giving the vaccination. What should the nurse manager's first reaction be?
Stop the nurse from giving the vaccination.
Which of the nurse's statements are true regarding delegation?
Delegation improves client care outcomes when used effectively.
Delegation is a complex process
While interviewing a nurse for the position of leader, the chief executive officer of a healthcare facility asks "How will you develop political skills in your team?" Which answers provided by the nurse most likely will result in an offer for the position
I will encourage their active memberships in the state nurses' association."
"I will encourage their participation in Nurse Lobby Day.
Which are the organizational outcomes of transformational leadership? .
Increased loyaltyIncreased commitment
Increased performance
The senior nurse advises a newly promoted nurse concerning various aspects of the leadership role. Which advice by the senior nurse would the newly promoted nurse most likely consider as leading by example?
Try to be a participant in political activity in the local community.
At a staff meeting, while discussing the return of one of the staff nurses from a drug rehabilitation program, one nurse states, "I don't know why we are wasting time on this. We all know that addicts go back to using drugs as soon as the pressure increas
It's important for us to share our feelings about staff members with problems.
What is one strategy that will improve client outcomes, communication, and collaboration between all health care providers?
Interprofessional education
Which qualities of a nurse leader can move the organization in a forward direction to continue delivering the best possible care?
Supporting the followers effectively
Nurturing the followers with right knowledge and direction
The registered nurse (RN) is caring for a client with epilepsy. Which tasks delegated by the registered nurse (RN) to the assistive personnel indicates active delegation?
Instructing the licensed practical nurse (LPN) to monitor the vital signsInstructing the unlicensed assistive personnel (UAP) to reposition the client
Instructing the unlicensed assistive personnel (UAP) to place the oxygen mask
A nurse is helping a client determine and articulate personal values about health problems. The nurse also explains the effect of these problems on lifestyle adjustments. Which Gardner's task of leadership is the nurse leader applying?
A client requires emergency cardiac surgery. The leader nurse wants to make the client aware of the situation and wants the client to decide what should be done. Which ethical model does the leader nurse follow here?
Which statement best describes a fundamental aspect of the clinical nurse leader (CNL)?
Evaluates care for evidence-based approaches
Which interventions are in the scope of a licensed practical nurse (LPN)?
Ambulating the clientAssisting the client with bathing
Administering intramuscular medications
A senior nurse is teaching about leadership qualities to a new nurse. Which action of the new nurse represents his or her leadership quality?
Organizing a group of colleagues to address organizational problems
A registered nurse as a leader is teaching novice leadership skills to a newly appointed leader. Which statements made by the new leader indicate effective learning?
I should resolve conflict.""I should deal with difficult people."
"I should learn how to work in groups.
While providing feedback to nurse practitioners, the registered nurse uses the extinction approach to handle negative behaviors. Which theory of leadership is the registered nurse applying in this scenario?
Organizational behavior modification (OB Mod) theory
A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation?
Sequence of steps used to meet the client's needs
Which statement would most likely be made by a client who is receiving care through the functional method?
I have to wait until the medication nurse is available for a pain pill.
The senior manager reviews the performance of the transformational leader on the basis of the feedback given by the nurse leader's team. Which statements describe the attributes of a transformational leader?
CharismaticMotivational
Individualized consideration
Which member of the healthcare team would the nurse claim performs functions through passive delegation?
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse (LPN) for a client who is experiencing severe dehydration and whose condition is unstable. The LPN reports the data to the RN. The RN rechecks the da
The registered nurse is instructing the student nurse regarding the gross anatomy and physiology of the kidneys prior to client examination. Which statement made by the student nurse indicates the nurse needs to intervene?
The right kidney is a little longer and narrower than the left kidney.
The nurse leader teaches about attributes that all change agents possess. Which attribute of a change agent is the key to self-support through challenges?
Which questions related to decision making for delegation are appropriate according to the delegation right of "right circumstance"?
Are the equipment and resources available to complete the task?
Does the delegatee have appropriate supervision to complete the task?
Which motivator factors to inspire work performance are in accordance with the two-factor theory?
The nurse manager is assisting the nursing staff with planning, priority setting, and decision making. Which Gardner's task of leading is being applied in this practice?
A patient care associate (PCA) is delegated a task that can be completed in 2 hours. The PCA has limited knowledge and willingness regarding that particular task. Which leadership style should be implemented by the delegator in this situation?
The nurse as a leader is using a transactional leadership style. Which effect on followers often results from this style of leadership?
The followers will correct errors in a reactive manner.
The registered nurse (RN) is teaching a student nurse about taking a current history from a client who is suspected to have a neurologic disorder. Which statement made by the student nurse indicates the RN needs to follow up?
I should ask the client about insomnia."
"I should ask the client about diabetes mellitus.
The registered nurse is evaluating the statements made by a student nurse after teaching about the delegation communication template. Which statement made by the student nurse indicates a need for correction?
The delegation communication template should include only the work that is to be delegated.
Which task can be delegated to the licensed vocational nurse (LVN)?
Administering oral hypoglycemic agents
Administering intramuscular medications
The leader nurse noticed that a staff nurse is unable to meet the responsibilities assigned, though the staff nurse is aware of the working requirements. What is the staff nurse experiencing?
Which statement is correct regarding delegation?
Delegation involves two people�delegator and delegatee�with the transfer of authority to perform the task.The delegator retains accountability for the outcome of the task delegated.
The delegatee holds responsibility but not accountability for the task.
Which application would the registered nurse state is related to the trait theory in practice?
The healthcare unit reviews the evaluation report of a newly promoted nurse leader and rates the performance as excellent. At which qualities did the nurse excel?
Charting new paths that lead to progress
Demonstrating positive feelings in the workplace
The nurse as a leader provides feedback to a recently recruited student nurse after checking performance reports that show a disregard for the Organizational Behavior Modification (OB Mod) theory. Which activity of a student nurse would the nurse leader m
Discussing the past mistakes of a subordinate
The nurse manager is teaching newly assigned delegators about the limitations of delegation. Which statements made by the delegators indicate effective teaching?
Personal hygiene activities can be delegated to unlicensed assistive personnel (UAP).""Administration of oral medication can be delegated to the licensed practical nurse (LPN)."
"Tasks related to caring for clients in a hospice care setting can be deleg
Which quality of the nursing assistant should be known by the delegator when assigning a task?
The student nurse is assisting the registered nurse (RN) in collecting feedback from superiors and peers. The questions they are asking address comments to the RN about his or her work quality that affects the environment and overall productivity. Which t
A nurse leader has prepared an objective for strategic planning. Which point indicates that the nurse possesses the ability to write objectives clearly and concisely?
Inclusion of the timeline and deadline
The nurse, as a leader, takes care of himself or herself to promote the nurse's ability to care for the staff. Which of Gardner's tasks of leadership is the nurse applying in practice?
The nurse manager finds that there is an increased infection rate in the unit due to an increased number of client visitors. The nurse believes that a change in the visitor policy could help reduce the infection rates. The leader is initiating an open dia
Which nurse has the following authorizations: change plans whenever necessary; function as part of the interprofessional team by communicating, planning, and implementing care directly to the client; and assess the cohort risks?
A nurse leader wants to communicate and explain changes to hospital rules to team members. Which approaches should the nurse leader follow for effective communication?
Explaining the reason behind the changeProviding the opportunity for dialogue and feedback
Giving information that addresses the listener's self-interest